FSA Tax Savings Calculator
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Calculate your FSA Tax Savings

This calculator allows you to estimate your federal income tax savings based on your FSA contributions.

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Start by providing your health plan information below.

This tool will help you estimate your out-of-pocket expenses and then how much tax savings you'd have if you contribute to a healthcare FSA. You may adjust any amounts as necessary and re-run this tool as many times as you'd like.

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Deductible Amount
$
Out of Pocket Limit

Office Visit Coverage

Copays or Coinsurance
$
Average Office Visit Copay ?
Dollar amount you pay after office visits deductible is met
Office Visit Coinsurance after Deductible is Met
%

Prescription Drug Coverage

Copays or Coinsurance?
Your plan has six tiers of prescription coverage, enter the coinsurance or copay amount that you typically access for you and/or your family. You can enter the # of prescriptions you purchase annually on the next page.
$
Average Prescription Copay
Prescription Coinsurance after deductible is met
%
Are prescriptions Subject to the Deductible?

Other Services Coverage (Lab, X-ray, Hospital, Skilled Nursing, etc.)

Other Services Coinsurance
%
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Next, we need some financial information.

Please complete the fields below.

Number of Office Visits?
Visits per year, at an average of $150 per visit. Do not include preventive care visits if covered at 100%
Number of Prescriptions ?
Prescriptions filled per year, at an average of $75 per prescription
$
Other Healthcare Expenses (Lab, X-ray, Hospital, Skilled Nursing, Etc.)?
Estimate the dollar amount your providers will bill annually for all other services. For example, if you expect to a have at least one ER visit at a cost of $400 and an outpatient procedure at a cost of $1,500 then enter $1,900. We'll apply your coinsurance to this amount.

Other Non-Medical Expense Types

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Vision (Glasses, contacts, etc.)
$
Dental (Cleanings, X-rays, Orthodontia)?
Enter the amount you will pay out-of-pocket for dental related expenses. Dental diagnostic services and preventive services (such as oral evaluations, routine cleanings, x-rays and fluoride treatments) are covered at 100%. You have up to $1,000 in first dollar coverage for orthodontia.
$
Other Expenses

Contribution Rules

$
Maximum Employer Allowed Contribution
Pay Periods Per Year
$
Amounts Funded by Your Employer

Tax Information

Federal Tax Filing Status
Tax Rate ?
Enter your tax rate, including total of federal, state, and FICA. This can be found on pages 13-19 of IRS Publication 919. Access Publication 919 Here »
%
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We've calculated your estimated federal and state income tax savings

Adjust your contribution with the slider below to see how much more you can save.

  • Annual Contribution to your FSA
  • Contribution Per Pay Period
  • Estimated Annual Tax Savings


Office Visits

Prescriptions

Other Services

Annual Estimated Costs